(Revised 1/1/08 ML 3118)
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The form is required to renew an adult family foster care license.
It is the responsibility of the applicant to complete this form and return it to the County Social Service Agency 30 days prior to the expiration of the license. A copy of the application must be sent to the Human Service Center.
An electronic copy of this form may be obtained at http://www.nd.gov/eforms/.
